A person may not perform body piercing on a minor without the written notarized consent of the parent or legal guardian, and an establishment may not perform body piercing on a minor under the age of 16 unless a parent or legal guardian accompanies the minor. Atomic Tattoos and/or contractors may refuse service to any minor and therefore this does not constitute a right or contract to receive service.

I,_________________________, give legal permission for my child/ward, ____________________, to have a ____________ (left or right, if applicable) piercing at Atomic Tattoos.

Notary SignatureThe foregoing instrument was acknowledged before me this_____day of_______________, 20____, by______________________, who is( ) personally know to me or ( ) who has produced _______________________ as identification and who did not take an oath.

This section is to be filled out at the time of piercing if the minor is under age 16.I,_____________________ the parent/legal guardian of________________________ was present at the time of the piercing.